So, Jeff, why don’t you go go ahead and take us through the agenda especially.
00:00:08 Speaker 2
00:00:09 Speaker 2
Well, we’re gonna confirm that this file is what you want and are expecting and our need want to change it or anything and then we’re going to go over the the message that we can get you this data.
Well, first of all, Jeff, if you if you don’t mind.
My, my me interjecting, injecting, injecting myself, you know, Sharon Carol, it’s nice to meet you all.
I do notice that this this is meaning is labeled.
You know, horses feed, and I did pique my curiosity, you know, or orsis is, I think, a system that was retired sometimes ago, but my understanding is.
00:00:49 Sharon Paul
00:00:50 Sharon Paul
Yeah, that’s legacy, Jeff.
00:00:52 Sharon Paul
And and it really.
00:00:56 Sharon Paul
It’s legacy, so.
So it’s it’s a legacy system that’s still running is that?
00:01:03 Sharon Paul
You know, and it doesn’t do anything it, that’s just something.
00:01:07 Sharon Paul
I mean, everything about the contact information in the name of it was from years ago.
00:01:13 Sharon Paul
I mean Mike Lindeman was listed as a contact, but only because he was working in IT in land support.
00:01:20 Sharon Paul
And then there was a share.
00:01:21 Sharon Paul
And so there was.
00:01:23 Sharon Paul
You know, there was a transfer of files and FTP and then there was migration and so that’s why he was listed and that’s why he kept telling you he didn’t really like have the role as the stakeholder there.
00:01:36 Sharon Paul
I I wanted to know.
00:01:38 Sharon Paul
I know, I know.
00:01:41 Sharon Paul
I wanted to know if Jeff received the.
00:01:44 Sharon Paul
I I looked at the extract that you produced.
00:01:47 Sharon Paul
And there were some fields that were missing from the ones that are exist in the FTP file.
00:01:54 Sharon Paul
And So what I was wondering is, had anybody like taken a look at what I had sent back and you know could make the changes that?
00:02:04 Sharon Paul
Would make this.
00:02:06 Sharon Paul
And share when you say more useful, you’re using this extract as an Excel spreadsheet today, right?
Just to you know, open it up and gather more information.
Is that right?
00:02:20 Sharon Paul
Right now we have this.
00:02:25 Sharon Paul
Process that I’ve put in place for epic accounts.
00:02:30 Sharon Paul
You have to remember, I mean, there’s tons of anesthesiologists, there’s hundreds of them, and then there’s fellows and there’s.
00:02:39 Sharon Paul
CR Annas and you know residents, so there’s a lot of people to keep track of.
00:02:45 Sharon Paul
And so this file is very helpful in terms of matching to the epic extracts which you know you can get a rather.
00:02:54 Sharon Paul
Crude extract out of epic arm it’s it’s not perfect, but it it’s possible and then you can determine if you have people that somehow have sort of fallen through the cracks and still either have an active jet for whatever reason, you know their job was extended by their supervisor or whatever that they had still have access to epic and you need to.
00:03:16 Sharon Paul
You know, make sure that you you terminate that. And so this it’s it’s partly that also we have something called PDR which is a professional development review and doctor Nadir ferraday from the Dean’s office.
00:03:33 Sharon Paul
Is, you know, one of the folks who’s.
00:03:38 Sharon Paul
Involved with that and that’s from when you know he’s in his role over in that office and he we use this file to supplement some information if we need to know.
00:03:53 Sharon Paul
You know, information that can only be obtained from here about there.
00:04:00 Sharon Paul
Primary and secondary appointments and that sort of stuff.
00:04:03 Sharon Paul
So it’s it’s a useful file for many reasons.
00:04:06 Sharon Paul
It’s not used on a daily basis.
00:04:09 Sharon Paul
And I can say that, like, completely when Orses was around, it was used on a daily basis, but it is not currently.
I’m I’m wondering if.
You know, so just so you know, MD staff has some additional capabilities.
And among that is a module called eprix, but it’s not just for looking up a provider privileges privileges.
It also, you know, can and and likely will contain additional information about providers.
And I think the idea is to develop, you know, a standard view for.
Uh for the enterprise and then you know, that view would be used by, you know, everyone at the enterprise.
And then there’s also the idea of potentially, you know, taking a look at these needs and and developing very specific views for specific areas.
I’m I’m wondering if you know for MD staff the you know the new system, if Sharon and Carol, you would be interested in just reviewing those capabilities and seeing if.
Uh, this new eprep view would kind of suit the the ad hoc, you know, kind of data pool and.
And that you would have for your area.
00:05:36 Speaker 2
Money damage will be that they’re just on demand whenever you, you know, the data would be live whenever you choose to run it.
And and so we did invite Matt Klepper, who’s our vendor contact and and obviously the the one who can give the smoothest.
E Priv tool, uh presentation.
How about we take a few minutes to just?
Evaluate that with you, you, Sharon and Carol.
And see if that.
00:06:05 Sharon Paul
Uh, with Carol has her speak to that.
00:06:07 Sharon Paul
She has the distinction of of, you know, having a a very separate role that is about credentialing.
00:06:15 Sharon Paul
And so she’s in charge of that.
00:06:17 Sharon Paul
So, Carol, you want to talk about that or?
00:06:21 Speaker 4
00:06:22 Speaker 4
I’m listening to the conversation and I guess I’m a little.
00:06:29 Speaker 4
Not caught up so well I.
00:06:31 Speaker 4
I would say.
00:06:32 Speaker 4
I’m not sure why I was invited to the meeting, so if I could get like an overview of what the purpose of the meeting and the objective and then hopefully I can answer questions as needed.
So, so the very highest level and my apologies, let me start from the the very beginning.
Our MSR credentialing system is 10 years old and we are actually in the middle of a project to replace that credentialing system with a new product called MD staff.
And with that new product, there are some additional features and you know the one I was just describing, E Priv is a lot like our privilege inquiry today, but it has the capability.
Of providing ad hoc requesters of information up-to-date additional information you know beyond privileges for providers, and of course, kind of like a that you can be tailored to specific areas.
If those areas have a defined need.
As you do today with this or this file.
Uh, for for anesthesiologists to say, you know, pull, you know, all all the anesthesiology population for your area of view can be created for for these specific areas that would just.
Have the providers that fit your criteria and then you can, you know, take a look at that list and and.
You know, uh, dig in, you know, dive into their profile and get more information, right.
So those are the reasons we’re having this conversation today is one, you have a predefined need in a.
A legacy feed with very specific fields that you need.
Our question is, does the feed which is for lack of a better term, kind of like a spreadsheet or just a listing with some fields and columns?
Do you need that feed to continue, and if so, will that need be covered by some of these new features?
Meaning that you know we can decommission the feet because again, it’s it’s kind of like a legacy or SIS feed.
Can we decommission the feed in, in in lieu of having these additional features in in our new credentialing system?
Does that answer questions?
00:08:57 Speaker 4
Thanks for yes.
00:08:59 Speaker 4
So the one thing I would like to say, so I represent from a departmental perspective, the Department of Anesthesiology and at currently at this time we at the department level do not have access.
00:09:16 Speaker 4
In NSW, to run certain reports and to pull certain information from the website web system so.
00:09:26 Speaker 4
From my perspective, you know there are some things that, yes, we would definitely like to do from a departmental level within the new system and D staff, however.
00:09:39 Speaker 4
From a global standpoint, I think Barbara would probably that’s on this call would probably be the best person that could highlight certain things that.
00:09:51 Speaker 4
Co and MSO can pull from MSW website database that the department level cannot at this time. I currently request all my reports and feeds directly through Ms. O&CO if ever needed. What I’d like to see that change.
00:10:12 Speaker 4
So I can speak from that perspective, but to really let you know from an old system to a new system would would be advantageous from a departmental level.
00:10:25 Speaker 4
I really can’t address that because we at this time we don’t have that access.
So it’s something that we can.
You know, partner with you, work with you to to develop as we you know, head into the new system.
And but but this this fee today, I think we’re very specifically analyzing the state of today and my understanding is, Carol, you don’t really use this, right?
It’s I think Sharon, you know you you’ll use this to pull some.
Due to do some reconciliation on an ad hoc basis, not on a regular.
00:10:58 Speaker 2
I’m sharing the feeds that they get today.
00:11:02 Sharon Paul
Yeah, that, that’s true and.
00:11:04 Sharon Paul
I’ll take you on a time warp.
00:11:07 Sharon Paul
Here, let me just explain to you what the background was for it originally.
00:11:12 Sharon Paul
So we used to run the scheduling system, then this was pretty warmness and pretty epic.
00:11:18 Sharon Paul
We used to run the scheduling system and.
00:11:20 Sharon Paul
So the what would occur is that there would be people that would be in the operating room or performing procedures who were not active and so that would occur.
00:11:33 Sharon Paul
And so this would be yes, yes, OK.
00:11:38 Sharon Paul
So that that would be a method of trapping.
00:11:42 Sharon Paul
00:11:45 Sharon Paul
Thing happening and we’re being able to report it that somehow like this, this had occurred and it, you know it so it was partly a queue.
00:11:57 Sharon Paul
Eye kind of thing and and sort of to determine when something was going on, just to validate that like everybody that was performing these cases are listed as performing the cases and what would turn out then is you know the people that had documented the staff that were in the room picked this person, but it really was that person.
00:12:18 Sharon Paul
And so they would pick in like an old.
00:12:22 Sharon Paul
Provider that really wasn’t present, that was inactive and so, you know, allowed for.
00:12:29 Sharon Paul
It you know, in a time that it was needed for there to be some.
00:12:35 Sharon Paul
Checking of the data.
00:12:37 Sharon Paul
So that’s sort of the link to the horses part and and so that, you know that doesn’t exist now, but we still need to know information I pointed out last time that we could do that on an ad hoc basis.
00:12:58 Sharon Paul
And procedure just to download the information.
00:13:02 Sharon Paul
I I would say we have no interest and I don’t know if Carol in any other departments.
00:13:09 Sharon Paul
So I I personally don’t have any interest in you know, knowing about child psychiatry or any other providers.
00:13:17 Sharon Paul
From other departments, there really isn’t any interest in that, and I think that was in the comments, so.
00:13:26 Sharon Paul
Yeah, I did go through sort of and parse apart this versus the the extract that we have and.
And this is too much information.
There’s there’s too many providers.
In the provider.
00:13:40 Sharon Paul
It’s different information.
00:13:42 Sharon Paul
So for example, like you know, we’re we’re interested in the category because you know that’s that’s very helpful.
00:13:51 Sharon Paul
Interested in the correct spelling for the name?
00:13:56 Sharon Paul
00:13:57 Sharon Paul
I personally am not interested in anybody from Sibley or suburban.
00:14:01 Sharon Paul
00:14:04 Sharon Paul
Or all children’s.
00:14:06 Sharon Paul
But Carol may have interests in other campuses.
00:14:09 Sharon Paul
Carol, do you want to speak to that?
00:14:13 Speaker 4
So we would like to have the flexibility to have access for other campuses for my department, I do the credentialing for all of the campuses that are affiliated with Hopkins, JH, Baby, Baby Medical Center, Sibley Suburban.
00:14:33 Speaker 4
Our county’s all children, so it would be very helpful to have that information.
00:14:40 Speaker 5
So can I make a?
00:14:41 Speaker 5
Quick comment, after listening to the conversation.
00:14:45 Speaker 5
So it sounds like.
00:14:48 Speaker 5
First, I want to address Sharon. Some of the things you mentioned in your conversation. One is, yes, I’m sure years ago there were maybe gaps and knowing what was happening in the OR with certain providers, whether or not they were privileged or if they were credentialed. And I’m sure this was very helpful at that time.
00:15:09 Speaker 5
00:15:12 Speaker 5
MD staff and and addressing patient safety the privileges that we are working on the multi facility privileges are going to have embedded CPT.
00:15:25 Speaker 5
I CD10 codes and also be mapped to opt time so that when cases are scheduled you cannot.
00:15:32 Speaker 5
Schedule someone to be in a OR who’s not credentialed and privileged, and you cannot schedule somebody in the OR to do a procedure that that privilege has not been granted them so.
00:15:44 Sharon Paul
Yeah, that was always the holy.
00:15:46 Sharon Paul
Yeah, that was always the Holy Grail.
00:15:49 Speaker 5
So that that’s where we’re at when.
That’s that’s what we’re trying to work towards.
And so just, yeah, just hard.
00:15:56 Speaker 5
Wanted to to bring yes.
00:15:57 Sharon Paul
It’s it’s a huge undertaking and you know, and of course the search surgeons will play a very active role.
00:16:05 Sharon Paul
And in describing to you either their pain or their their.
00:16:10 Sharon Paul
Ease in in describing you know, the procedures that they plan to to do and and and you know it’s it’s something that we had.
00:16:21 Sharon Paul
Long ago, you know, proposed, so that’s fantastic, that it’s come to fruition so.
00:16:28 Speaker 5
So yeah, so I wanted to make sure that I talked.
00:16:31 Speaker 5
A little bit about.
00:16:31 Speaker 5
This that you kind of know what.
00:16:32 Speaker 5
The future holds.
00:16:34 Speaker 5
Peter Green and I met years ago when it sounds weird.
00:16:39 Speaker 5
It’s already been over three years ago, but I feel like I’m still a newbie and he talked about at that point they were talking with the health I.
00:16:48 Speaker 5
See folks about creating a homegrown system with Anne Hopkins to address that, and then once we knew we were signing the contract with MD staff.
00:16:58 Speaker 5
And all the capabilities we have with privileging and codes and active processes that will feed to epic in real time and the fees that we want to create without time, we knew that this was something that we could actually do.
00:17:13 Speaker 5
So that’s a dream state of ours. I don’t know when that will actually happen, but I hope in the next like 12 to 24 months.
00:17:21 Speaker 5
Secondly, yeah, secondly, and you know the implementation for MD staff to go live on the credentialing side and enrollment side.
00:17:21 Sharon Paul
00:17:30 Speaker 5
Is August 14th of this year just?
00:17:34 Speaker 5
To give you a little bit of.
00:17:36 Speaker 5
A time frame.
00:17:37 Speaker 5
So it sounds like on this call, though with Carol being on the call, I think Carol has different needs than than you would Sharon as far as like automatic data feeds.
00:17:50 Speaker 5
Either through building our eprof displays or ad hoc reports that are timed to send to you on a weekly basis or daily basis.
00:17:59 Speaker 4
I mean, Carol would.
00:18:00 Speaker 4
00:18:00 Sharon Paul
00:18:00 Sharon Paul
Yeah, that’s that’s true.
00:18:02 Sharon Paul
And I just wanted to open, I mean, because I was approached by by the group.
00:18:08 Sharon Paul
I wanted to make sure that I sort of invited Carol along on the ride because it, you know, it’s important that she get access to the information that she needs.
00:18:20 Sharon Paul
And I thought, well, there was an opportunity for that here.
00:18:24 Sharon Paul
So I do think we do have two different.
00:18:29 Sharon Paul
You know, lanes to swim in, so.
00:18:32 Speaker 5
Yeah, and and the end product.
00:18:34 Speaker 5
What we’re building is that should be available.
00:18:39 Speaker 5
In August, when we go live is the ability and I was just talking to Matt Clepper about this yesterday to build dashboards that our clinical department specific for people like Carol who want to know for their applicants and their active staff.
00:18:56 Speaker 4
Who they have.
00:18:57 Speaker 5
In their department currently.
00:18:59 Speaker 5
For the applicants where they are in the credentialing process and where they are in the enrollment process, so you do not schedule some of your providers to see patients and conduct care until they’re fully in.
00:19:13 Speaker 5
That’s one of the revenue cycle challenges that we have today that we’re trying to close.
00:19:17 Speaker 5
The gap on are.
00:19:19 Speaker 5
Building those dashboards so that any point Carol can go in, pull up her E display and see exactly what’s happening with her providers real time.
00:19:32 Speaker 5
Yeah, so so.
00:19:33 Speaker 5
This is a big shift and it’s a really big improvement and so that’s why these meetings are happening is that we can talk about what your needs are, whether they’re similar or not.
00:19:44 Speaker 5
I mean, they are definitely both in the Department of.
00:19:47 Speaker 5
But getting you, you know, sharing what you need and getting Carol what she needs basically.
00:19:53 Sharon Paul
OK, sounds good.
So do do we do we wanna segue then into a an eprix demonstration and then we can take take the feedback down as far as?
This new functionality within MD staff.
OK, hearing no objections.
Matt, do you do you wanna just kind of jump into the your the the eprix setup on uh, the sample?
00:20:29 Speaker 6
Did we want to cover how to set it up, gene?
00:20:31 Speaker 6
Or did we want just a high level demo?
Just a high level demo of its capabilities.
00:20:42 Speaker 6
So this is EPIRB.
00:20:43 Speaker 6
This is looking at my demo instance, so it’s not your data quite yet and for whatever reason this morning my provider photos aren’t loading.
00:20:50 Speaker 6
But this is the idea is eprep is a read only display that updates pretty close to real time.
00:20:57 Speaker 6
So the idea is if anybody in your organization.
00:21:01 Speaker 6
Needs data or access to data.
00:21:03 Speaker 6
You can customize a display that can be just your facility or your whole enterprise, whatever you need.
00:21:10 Speaker 6
And anybody can look up a provider in real time so they can search for a provider’s name.
00:21:16 Speaker 6
Pull up their profile.
00:21:18 Speaker 6
All of this data right here.
00:21:19 Speaker 6
You can customize so you can pick what license data, what files, credentials, medical history, covering providers, any data from their profile on MD staff.
00:21:31 Speaker 6
You can show that right here very easily.
00:21:33 Speaker 6
And then there’s a privileges tab that would show let.
00:21:35 Speaker 6
Me show right or with?
00:21:40 Speaker 6
That would show the name of the form, what facility that form is for, the dates that that privilege is effective, and the current status for each individual privilege.
00:21:51 Speaker 6
You can Scroll down you.
00:21:51 Speaker 6
Can see this provider has two forms and.
00:21:55 Speaker 6
You can see the exact same data right individual status updates for each individual line item on your form.
00:22:03 Speaker 6
So that’s on an individual one by one provider level, right?
00:22:07 Speaker 6
They can also go to this privileges section.
00:22:10 Speaker 6
This is every form that we currently have that’s published or active and I can click on, we have 15 anesthesiology providers for example.
00:22:18 Speaker 6
And then I can see the total number of providers that can.
00:22:20 Speaker 6
Do each individual privilege.
00:22:24 Speaker 6
On pain management, it kind of itemizes every single provider that can do each individual privilege, right?
00:22:29 Speaker 6
Because even though this number is 15, the number of providers that can do each individual privilege can vary.
00:22:35 Speaker 6
So it gives you incredibly detailed privilege reporting.
00:22:40 Speaker 6
And don’t worry if some of your displays are not privileged specific, you can turn this privilege section off.
00:22:46 Speaker 6
So it’s basically just providers and just provider data.
00:22:50 Speaker 6
You could do the same thing by specialties and departments so they can look up.
00:22:53 Speaker 6
Here’s all twenty of our anesthesiologists.
00:22:56 Speaker 6
And here’s my.
00:22:57 Speaker 6
Department you can see here’s 120 of all of our internal medicine providers.
00:23:03 Speaker 6
So the idea is if somebody right now is currently getting a file or data from your system, the the the problem with a lot of those reports are a lot of that the data that they’re getting it’s out of date very quickly.
00:23:17 Speaker 6
It doesn’t update in real time.
00:23:19 Speaker 6
That’s probably the best feature of E Priv.
00:23:21 Speaker 6
It’s also incredibly easy to log into.
00:23:23 Speaker 6
00:23:24 Speaker 6
A feature called.
00:23:24 Speaker 6
Auto login so they don’t have to memorize a password.
00:23:27 Speaker 6
They can click a link they’re immediately in.
00:23:30 Speaker 6
And you can have as many displays as you want, so you can have as simple as.
00:23:34 Speaker 6
I’ve seen some where people in the pharmacy need to see DEA numbers, or a CEO needs to see cell phone numbers or schedulers need to see privileges.
00:23:43 Speaker 6
Whatever data you want, you can have as many displays as you want and customize that data and limit who can access it.
00:23:49 Speaker 6
And easily distribute this data in real time.
00:23:54 Speaker 6
00:23:57 Sharon Paul
I’m pretty straightforward.
Now, now, since anesthesiology begins with an with an A, We’re we’re we’re doing a general E Priv.
You know view for the the entire health system.
You know it it you know and and of course, you know, the idea is that transparency, you know, making sure that folks can find information, especially if there’s gonna be procedures and appointments, things like that being set up.
People need to know you know what providers are privileged.
For, you know, do you do you anticipate needing a very specific view for anesthesiology?
If if Esprit is the right tool for you to think about it a little bit based upon this demonstration or, you know, can you, can you envision yourself utilizing this for the ad hoc purposes?
That you use the data file for today.
00:24:57 Sharon Paul
As as long as you can extract it and and like I don’t see an extract option there, but as long as you can extract the data and you can get in the fields that you need, then it’s it’s sort of like it’s fine and one of the things that I noticed when I’m looking at this is.
00:25:17 Sharon Paul
You’re not relying on the doctor ID, right, so you’re relying.
00:25:21 Sharon Paul
On the name.
00:25:22 Sharon Paul
And there’s a lot of same name tactors out there.
00:25:28 Sharon Paul
What’s your like?
00:25:28 Speaker 6
Our displays also allow you to search by ID number if you want to.
00:25:32 Sharon Paul
OK, so to the Hopkins one with the the letter and then the four numbers.
Well, so you know that that’s a good point is in, you know in in anesthesiology share and you’re using the Hopkins ID, right.
So which is the the alpha plus the the four numeric you know versus say an enterprise ID and so you know.
00:25:54 Speaker 4
00:25:55 Speaker 4
I hate to interrupt, Jean, but as we are doing this meeting, I just got a call from my administrator dealing with an issue of a physician not being credentialed at Dave you so and he’s scheduled to work today.
00:26:10 Speaker 4
So I have to jump jump for this call and try to figure out what is going on.
00:26:15 Speaker 4
With the physician.
00:26:16 Speaker 4
So Gene, if you could send me the transcription of the meeting, so I can kind of see what was going on.
00:26:22 Speaker 4
And Sharon or Bob, if if you all know questions that may possibly be something that I can answer, please feel free.
00:26:30 Speaker 4
Someone can e-mail me, but I’m so sorry.
00:26:32 Speaker 4
I really have to jump off the meeting.
Check check 80 calls, yeah.
We’ll send you the Jeff will send you both the the video and the transcript, OK.
00:26:40 Speaker 4
Thank you all so much.
00:26:41 Sharon Paul
Thanks a lot, Carol.
00:26:43 Speaker 4
- You’re welcome. Bye bye.
00:26:45 Sharon Paul
- So I guess the the number that’s displayed there, the 2857 for Atkins, what what is that? That’s the.
Yeah, that’s that’s an that’s just an internal number that Matt has in his test system.
And I think we have to make that, uh, that decision from an eprix design perspective of and and Matt is is it only one ID number up there or that you can search by you have to choose which one.
Is it on the provider level then not on the the?
That you can search box.
00:27:23 Speaker 6
I think we can choose either one.
OK, so I think then we have to, we have to make well, so and then my other question is that some so uh that this is a a very interesting area that I I have it at my level.
I haven’t actually explored yet.
So you know if if some facilities decide to use their their facility.
Number, which in the case Sharon had stated was an alpha plus 4 digit.
And and JPMC is a six digit stuff like that.
What happens about the other facilities in our enterprise view that don’t use a facility specific ID number.
00:28:03 Sharon Paul
Yeah, that’s that’s where your harmonization role will come in. Get yourself AT shirt with harmony written on it.
Now you know that I think that will have to come from, uh, from somewhere much higher.
As far as making sure all of the departments and clinical areas.
00:28:20 Sharon Paul
Yeah, the mantra is always harmony.
Make that decision.
00:28:23 Sharon Paul
It’s and so they’re, you know, you’re not gonna find a lot of support for taking the AA1UP approach to.
00:28:32 Sharon Paul
To whatever the enterprise wants.
00:28:34 Sharon Paul
It’ll probably come down to, you know, what’s what makes most sense from an enterprise level and everybody will just serve fall into step with.
00:28:44 Sharon Paul
And it’ll be tough because you know each individual campus has its own identity and and so it’s it’s not a it’s.
00:28:54 Sharon Paul
It’s not an easy thing.
00:28:56 Sharon Paul
I’m just know that in recording the anesthesia encounters, it’s really.
00:29:03 Sharon Paul
You know, important to make sure that you distinguish, though we earlier in the week we were chasing around, there’s 22 entries in the.
00:29:15 Sharon Paul
Epic System for Doctor by the name of last name of Mark, and so we had a CNA who wasn’t familiar with the attending that she was working with, and so she misidentified her and called her, you know, Amy, Mark and Amy. Mark was here and left in 2018.
00:29:36 Sharon Paul
But by golly, an epic you can still pick her and you know, so there’s some.
00:29:46 Sharon Paul
You know, there’s always little hooks that you’re going to have to be aware of and you know, so.
00:29:52 Sharon Paul
You know, we’re we’re quite a mean to being a Guinea pig for whatever it is that you want to be doing.
00:30:02 Sharon Paul
We’re interested in in keeping the access to the data and whatever that takes to do.
00:30:11 Sharon Paul
We’re willing to do and the comments that I made there were real specific, because if I if I wrote back that I needed this or that one of them was the doctor ID.
00:30:23 Sharon Paul
You know, that’s something that we are using and my interest is not in the other campuses because I have nothing to do with Simon and suburban.
00:30:35 Sharon Paul
But Carol does.
00:30:36 Sharon Paul
So we that’s, you know, good point about you know we have two different lanes that we’re swimming in here, so.
And and I’m I’m hearing actually multiple lines, right. You know you have, you know, uh folks documenting in chart in the OR that has to.
A an attending or something like that, you know?
Or is that?
Is that true did.
I just hear you.
00:31:01 Sharon Paul
I mean, they have to well.
00:31:02 Sharon Paul
They come in staffed with something that’s in the what’s called the SNAP board. They come in staffed with a A-Team, staffed in the SNAP board.
00:31:11 Sharon Paul
If, for example, that’s wrong and they need to change it, or when they go in to start the encounter, they have to identify the person who’s the responsible anesthesiologist.
00:31:22 Sharon Paul
The case there might be, you know, multiple anesthesiology attendings on a case, depending on the length of it, that they have to identify that person who is most.
00:31:31 Sharon Paul
Responsible the most disrespect and and it’s a tough thing.
What is that?
00:31:38 Sharon Paul
And so in this particular scenario, I mean that we were running down.
00:31:41 Sharon Paul
It was just simply a matter of the CNA, you know, didn’t was new, didn’t know who the doctors were, they.
00:31:51 Sharon Paul
You know, encountered the person, thought they identified them correctly, didn’t.
00:31:56 Sharon Paul
And you know, boy, it was a a tough thing to try to undo and.
Sharon, can I interrupt?
00:32:04 Speaker 5
Real quick, I have a quick question about that.
00:32:06 Speaker 5
You know, we are always talking about risk and security and epic with providers still having access that should have been removed.
00:32:15 Speaker 5
So do you know in your department?
00:32:17 Speaker 5
Anyone who takes that responsibility to go in, and if a fellow has left, or a provider has left?
00:32:24 Speaker 5
That you clean that up.
00:32:25 Sharon Paul
That’s me, that’s me.
00:32:27 Speaker 5
00:32:27 Sharon Paul
But but in this case, it wasn’t that the person was active.
00:32:30 Sharon Paul
That was the weird thing.
00:32:32 Sharon Paul
It it seems to me to be really odd that they could select somebody who was not active and put them on a team in a room and they left in 2018. So it it that that’s really speaks to.
00:32:50 Speaker 5
The direct feed from our credentialing database too, maybe I don’t.
Know it could actually be an SCR issue.
00:32:53 Sharon Paul
So this this is something maybe that we wanna take back.
00:32:59 Sharon Paul
It’s true, that’s true.
Uh, we wanna take back to the interdisciplinary.
You know IT, team that we’ve pulled together and take a look at this and see if there’s a opportunity for improvement.
Or if there’s a.
Gap that may even be resolved by something we are we are already having the works bar right?
So share do you do you mind sharing this scenario with with me?
And then I can I can bring the the group with them.
00:33:24 Sharon Paul
Yeah, yeah, yeah.
00:33:26 Sharon Paul
I, I I don’t don’t have any issue with that.
00:33:28 Sharon Paul
I mean it’s something if things don’t get fixed unless you ring a bell.
00:33:33 Sharon Paul
And in this particular case, one of the things that I had asked the anesthesia Epic team.
00:33:38 Sharon Paul
It was if.
00:33:40 Sharon Paul
Because you can still see these folks in the database, right?
00:33:44 Sharon Paul
What do you do when somebody leaves?
00:33:46 Sharon Paul
00:33:46 Sharon Paul
So do you take them out of the database and they’re no longer selectable for snap boards?
00:33:50 Sharon Paul
So do you remove this?
00:33:52 Sharon Paul
The the Sir and I think that the IT is possible that the sort of problem there, the conundrum is there isn’t a way to sort of deactivate them in this database, right?
00:34:04 Sharon Paul
Because Epic didn’t.
00:34:06 Sharon Paul
Include that or it wasn’t part of the configuration that that there’s no way to sort of say.
00:34:13 Sharon Paul
That that person isn’t there.
00:34:15 Speaker 5
00:34:15 Speaker 5
So the idea is, is that your department has a process too.
00:34:20 Speaker 5
Maybe it’s Carol, maybe it’s other folks that sends, you know, a list of providers that are no longer in your group to your the medical staff services team, so that they can take them off of that site.
00:34:32 Sharon Paul
That happened in in this.
00:34:34 Sharon Paul
Yeah, but in this case, like just.
00:34:36 Sharon Paul
To be real clear.
00:34:37 Sharon Paul
This this other mark wasn’t active, right?
00:34:40 Sharon Paul
So what was true is and this is the case, it it isn’t that the person was active that well.
00:34:42 Speaker 5
Ohh so it’s just searching, yeah.
00:34:46 Sharon Paul
That was the thing that was so.
00:34:47 Sharon Paul
Stunning to me.
00:34:49 Sharon Paul
Was how did you pick somebody that hadn’t been there since 2018 and didn’t have an active?
00:34:55 Sharon Paul
Record since 2018. How did you kick them and put them in?
A case aiming Mark.
00:35:03 Sharon Paul
So how did you do that?
00:35:04 Sharon Paul
That’s that was my question and that’s why I brought it up.
00:35:07 Sharon Paul
And yeah, it’s there.
00:35:07 Speaker 2
00:35:08 Speaker 5
Is this cert issue?
00:35:09 Speaker 5
Yeah, that’s the cert issue.
00:35:11 Sharon Paul
00:35:12 Sharon Paul
I mean, we’re pretty, pretty vigilant.
00:35:14 Sharon Paul
I mean, how many other departments go out have this chat about getting MSO extract and do this for years to make sure that they troll out.
00:35:23 Sharon Paul
I mean, I’m going to going to be honest with you.
00:35:25 Sharon Paul
I do also do that for sibling and suburban and and all children’s I was writing to them and saying look.
00:35:30 Sharon Paul
Got these folks who are still active.
00:35:32 Sharon Paul
00:35:34 Sharon Paul
And you know, so I still did that for other campuses, but at some point, you have to sort of cut that off.
00:35:40 Sharon Paul
And they have to sort.
00:35:41 Sharon Paul
Of stand on their own.
So Sharon, neither you or nor Carol today have access to MSW, right?
I heard Carol.
00:35:49 Sharon Paul
I do. I I can log in and Carol. Of course I think can log in to MSW. I’m not. I’m not thinking she can’t log in to MWI can.
In in our, in our conversations about those credentialing contacts needing access to MD staff that that would include say like Sharon share like Sharon and Carol and and others the read only access, right.
Is it is that true?
Because, you know, you mentioned dashboards, Barb, like, you know, uh, if we if we do sophisticated dashboards, you know, that may be, you know, one of the read only read only accounts that we’re talking about, right.
00:36:26 Speaker 5
Yeah, for sure for sure.
We we we would have to take that down and see, you know.
For your needs, as far as any anesthesiology goes, you know what?
What does that profile look like?
And you know, and and what can we gain from both using E Priv?
And I isolated another need that you mentioned, Sharon, is that you wanna you want to export it in like?
Data format like table format.
Is that because where do you do like your kind of analysis?
I I I think when I hear that it’s like analysis.
00:37:00 Sharon Paul
Crudely crudely, I’m I’m going to it.
00:37:05 Sharon Paul
It would be like a join in an access database.
00:37:10 Sharon Paul
You know where a one up or kind of a deal where you you just are looking for things that don’t match and then you have to do your investigation.
00:37:20 Sharon Paul
Find out why don’t they match, you know so.
00:37:26 Sharon Paul
All of these separate systems it when you go to extract something from epic arm, I have to pick all the different anesthesiology departments, right?
00:37:37 Sharon Paul
So everybody has a different way of describing anesthesiology.
00:37:41 Sharon Paul
You just don’t go in and click anesthesiology and come up with all the departments.
00:37:47 Sharon Paul
It’s it’s a laborious process, but sometimes it’s the only way you can sort of figure it out.
00:37:52 Sharon Paul
Somebody who might have epic access.
00:37:54 Sharon Paul
Then you don’t want them to do that so.
Yeah, that’s, you know, I think that again, as you were saying, this is you know above and beyond a bit, you know a lot of what a lot of other departments do and that you’re that level of uh, of actually taking their login information and reconciling it with.
00:38:07 Sharon Paul
We’re on it.
The credentialing information and to make that decision at the clinical Department level, which is you know where it should be made right, should this person still have login rights?
00:38:30 Sharon Paul
00:38:31 Sharon Paul
And and so Carol hears from me, when I I, I’ll write to her and Wayne cause and who is our HR manager and and ask him, you know, hey, I see this person still has an active Jed as far as I know.
00:38:46 Sharon Paul
I was told they left.
00:38:47 Sharon Paul
Can you tell me when their last clinical day was?
00:38:50 Sharon Paul
Why do they still have access and?
00:38:52 Sharon Paul
Then you know you.
00:38:53 Sharon Paul
You have to do research on every single person that and to try to make it as tight as you can, and it’s it’s.
00:39:02 Sharon Paul
It’s not easy, and because they’re just.
00:39:04 Sharon Paul
So many looks and nannies out there where stuff can be stuck.
00:39:10 Sharon Paul
So anyway that was the mark one example I’ll send you trying to give you sort of like a rundown on how that occurred and.
I would appreciate the mark example.
Uh, we are actually discussing the Jed fee today and our provider data architecture.
I’m wondering if we also want to import the last login date and potentially have some dashboarding, but you know again.
I’d have to talk with both the the jet team and everything.
See what’s feasible, right?
Because I think we wanna make it easier for departments and contacts such as you that may have read only access or may be able to have an ad hoc report sent to you to have that information.
Available, but again I still have to figure out you know what’s feasible.
For for August 14th timeframe. But I think overall I’m hearing what you’re doing with some of the clinical departments are doing and that going that above and beyond and making sure that folks shouldn’t have logins and the jet team appreciates it too because they get hit by audit you know going like wait you have 370 providers or something with.
You know, active appointments, which ones really shouldn’t have login access and so then the Msos are gonna have to go like well.
I’d have to reach out to like 20 different departments to figure it out, right?
So you know I I think.
Maybe there are additional pieces of information that could help them, but really it comes from the top that goes that messaging that goes down to the clinical departments to say you’re gonna look at this and then they’re gonna go, where are we gonna look at this?
And so I think that’s that’s something we can all kind of work towards.
00:40:56 Sharon Paul
00:40:57 Sharon Paul
Well that’s sounds good.
00:40:59 Sharon Paul
00:41:01 Sharon Paul
You know, work with you for whatever it is that you you you think is helpful either for the project at large or just for what our needs are so happy to help.
So as far as the outcome of this goes, what I will put down is you know this this interface is is provisional.
It’s not ideal.
You’re receiving a a roster of information, but then you’re doing a lot of manual work on it for analysis.
Purposes, you know, if push comes to shove and we have to do it, we can replicate it for a 14.
We probably don’t wanna call it orsis anymore. We wanna call it like and it’s the analogy analytics file like ad hoc report and call it an ad hoc report or give you access to our data warehouse. Do you need up-to-the-minute real time information or can it be like?
00:41:39 Sharon Paul
Something else? Yeah.
On uh, this information was updated this morning and I’ll pull it up.
00:41:55 Sharon Paul
The up-to-the-minute real time is because you the scenario is right now because anesthesiologists in general and that is everybody sort of in the field, CNA’s, residents, fellows, attendings.
00:42:09 Sharon Paul
Are all in very short supply.
00:42:12 Sharon Paul
I mean that the, the it’s just like internal medicine.
00:42:15 Sharon Paul
They’re all in very short supply and there aren’t many of them.
00:42:18 Sharon Paul
And so they what they do is they bring people in and then they want to have them in the OR in a clinical setting on day one, ready to rock’n’roll. And so you, you barely get a chance to.
00:42:30 Sharon Paul
Make sure that they have the epic set up and you know their applicant.
00:42:35 Sharon Paul
Until so, what do you do in that scenario where they’re applicant and?
00:42:41 Sharon Paul
And you do how?
00:42:41 Sharon Paul
00:42:43 Sharon Paul
Can you grant somebody so they can get the training that they?
00:42:45 Sharon Paul
Need so you know it’s a.
00:42:49 Sharon Paul
It’s a tough, tough thing and that’s why there’s so much effort to.
00:42:56 Sharon Paul
00:42:58 Sharon Paul
Use all these different data sources for that.
00:43:02 Sharon Paul
And Carol’s example of having to leave the meeting is not an unusual 1, so.
Or can you refresh my memory?
What are we planning to put applicants on?
Uh, the E preview or, uh, have it at a separate view?
00:43:17 Speaker 5
Yes, we want to put applicants because we want the departments to know who they have in the pipeline.
00:43:23 Speaker 4
You know and where.
00:43:24 Speaker 5
They are in their process like time frame wise.
00:43:27 Speaker 5
And you, you know.
00:43:30 Speaker 5
Speaking about just the Department of Anesthesia in general.
00:43:34 Speaker 5
On all of my reports that I give to our credentials oversight Committee, anesthesia is the number one department in the health system that has the most turnover and the most open tenants in both CNA’s in anesthesiologists because they can’t keep them, they’re moving from place to place.
00:43:54 Speaker 5
They’re only here for training for a while and then they.
00:43:55 Speaker 5
Move on or they’re here.
00:43:57 Speaker 5
And they’re burnt out and.
00:43:58 Speaker 5
They leave and go someplace else because Hopkins.
00:44:00 Speaker 5
Is a tough.
00:44:01 Speaker 5
This, and we’re so busy.
00:44:04 Speaker 5
So it is a big.
00:44:05 Speaker 5
Deal for that department.
00:44:06 Speaker 5
To have really.
00:44:07 Speaker 5
Accurate information because on a daily basis things change drastically in anesthesia.
00:44:15 Sharon Paul
And they’re also swinging between 2 campuses a lot between Bay View and the Hopkins E Baltimore campus.
00:44:21 Sharon Paul
That’s the other sort of difference.
00:44:25 Sharon Paul
And usually, you know, several years back when this shortage wasn’t so.
00:44:34 Sharon Paul
Prolonged their their they could just be at Bayview and then, you know, we hardly knew him on the East Baltimore campus.
00:44:42 Sharon Paul
But they’re so needed and they’re so short on on these actual specialty areas that they’re, you know, they’re moving between campuses.
00:44:54 Sharon Paul
And then you have to make sure that they’re privileged on each campus.
00:44:57 Sharon Paul
So and each group has a separate process for that.
00:45:04 Speaker 5
To let you know too, Sharon real quick.
00:45:06 Speaker 5
That is a process we’re looking at in the Co health system wide is the one over these types of providers, especially anesthesia and CNA come up for credentialing and privileging that we move forward to credentialing and privilege them across the system so they can float around instead of.
00:45:23 Speaker 5
Like why she Carol was just pulled away is because for some reason they’re not a baby.
00:45:28 Speaker 5
I don’t know what the issue is, but what we’re working towards is for these types of of specialties to go ahead and give them privileges.
00:45:37 Speaker 5
Across the health system.
00:45:38 Sharon Paul
Yeah, that makes perfect sense.
00:45:40 Sharon Paul
You know that just that makes perfect sense, yeah.
So just to follow up on this meeting, what I’ve identified is we definitely need a anesthesia of you and you’d like to just, you know, kind of see your department, you know, and maybe we’ll take that offline.
I think we we just have to open it up to all IP addresses within Johns Hopkins.
But you know, just have the link for anesthesia that they can use, right, or you know.
Potentially even talk to our EPIC colleagues to see if it, you know, can be put in the help menu somewhere.
I don’t know.
We’ll we’ll have to.
We’ll have to take a look and see what possible for 8:00.
13 But you know I that the Eprep will identify will help that need of someone.
You know, someone that’s incoming.
That’s, you know, in the applicant pipeline and they can have a good sense of that.
But then also you know for those instances, I don’t know if you ever have crnas or others.
Within the order or registration folks before a procedure that just kind of look and see, hey, does this provider have privileges?
Maybe it’s not the CRNA that does it, but you look before the procedure to see does the provider have privileges and that’s what that real time view will give you.
And so that’s one need that we have.
You definitely need a new per view, right that we need that we’ve identified.
That you know and with uh with an ID number that you’ve agreed should be as enterprise as possible cuz you know every facility may lose a little bit of that character, but you know will be harmonized.
It will be in.
A happy place, yeah.
And then and then the second part is, you know, what can we do from a, you know, both a jet perspective and from a reporting perspective to help those situations?
Where you are on top of things, you’re like.
We don’t want providers that have left the system to still have access and so we wanna assist that as much as possible.
And so that’s gonna be more from a an ad hoc reporting or dashboarding, not even ad hoc reporting, but like a dashboarding perspective potentially to see if there’s a.
A solution we can.
Kind of pilot with anesthesiology, you know, and see, you know, does this really kind of meet your needs for that aspect as well?
And so, you know, these are both kind of things.
We’re exploring part of our you know our build.
Uh exploration, you know process and uh, you know Matt, I’m going to.
Defer to you a little bit in the last few minutes that we have on this meeting anything that you know you’ve whoop transcription keeps stopping for some reason, but you know we’ll.
We’ll make sure to get the notes out.
Matt, anything you’ve heard?
Uh, on this meeting, that’s, you know, either brought up uh, you know, hey, you know, this is exactly what we can do for you.
We’ve heard this before or anything that’s raised a flag.
So that you know, I just want to make sure I give you a chance to speak.
00:48:40 Speaker 6
Yeah, nothing that stands out.
00:48:42 Speaker 6
I think we, we we’ve talked about a lot of these types of concepts on other meetings.
00:48:47 Speaker 6
I think you guys are on the right page.
00:48:48 Speaker 6
I think Barb has a a very clear vision on, you know, end goals and what.
00:48:53 Speaker 6
Data distribution like this needs to look like from a system level.
00:48:57 Speaker 6
I don’t really have anything to add.
00:48:58 Speaker 6
You guys covered all of it.
Just wanted to make sure we, uh, there wasn’t something from like uh, one of your other big customers, Cleveland or something else.
They’re just like these guys are doing something, you know, innovative, innovative.
We can we can leverage, but yeah.
But I think the product itself, with its, with its new functionality is is a is a step forward in innovation.
00:49:23 Speaker 5
Yeah, and and just real.
00:49:25 Speaker 5
Quick, I just wanted to add you know we I view what we do like IT and credentialing and all of that.
00:49:31 Speaker 5
As a support service.
00:49:33 Speaker 5
So we’re here to support whatever the clinical departments need, and this is a perfect example of us kind of getting together and making sure that anesthesia and critical care.
00:49:43 Speaker 5
Have exactly what they need.
00:49:44 Speaker 5
When we do roll out MMD staff and then know like what we’re working on the in the future to even make things a little bit better.
00:49:52 Speaker 5
So it’s kind of like a continuous process improvement.
00:49:56 Speaker 5
We’re doing and it’s super exciting.
00:49:58 Speaker 5
So happy to help these clinical departments get whatever they need.
00:50:05 Sharon Paul
We’re happy to receive some additional assistance when you explain it to somebody else.
00:50:11 Sharon Paul
It sounds kind of crazy and and you know, and yet you you know what the background is for, how it exists and that it’s the best that they could put together at the time, but always can do better.
00:50:25 Sharon Paul
And and happy to do whatever we need to do.
One quick question.
We covered the the, the the alphanumeric plus 4 digits in the potential of using something else.
I I do notice on the file that you received service codes and I know those are input for JH and BMC.
Those are still critical for you, right?
00:50:49 Sharon Paul
Yeah, the service codes I’m interested in and I can get this from the School of Medicine file is what their primary appointment is, right?
00:51:04 Sharon Paul
You know, that’s something that I’m interested in.
And then you also mentioned you have some additional fields.
I I looked in the the production uh server and it was the I think the fields that were presented that Jeff had presented on the stream.
00:51:23 Speaker 2
I added them as notes.
00:51:24 Speaker 2
I added her e-mail as notes to this meeting.
And and so so Sharon uh, you’ve you you outlined those additional fields that you’d like and uh, Jeff, you’ve had a chance to look through them.
00:51:36 Speaker 2
Can you hear me?
00:51:38 Speaker 2
Yeah, I added them as notes to this though.
00:51:41 Speaker 2
To this meeting.
00:51:43 Speaker 2
But I don’t see anything that’s a.
00:51:46 Speaker 2
I mean we can review them.
Uh and Jeff, is that in the orsus XLS?
00:51:55 Speaker 2
No, I added the.
00:51:56 Speaker 2
I added her e-mail as as notes.
00:51:59 Speaker 2
Can you hear me? Hello.
Yeah, Jeff, Jeff, yes, yes.
Yeah, you know, we’ll take that offline.
We’ll take a look at those additional fields, Sharon that you had requested.
And and then, uh, you know, we can we can build that into our evaluation for the for the solutions.
I think it’s good to have a follow up meeting.
You know, after we’ve had a chance to take this back and kind of work out, you know, strategy in the in the menu of the different items in the new build that can meet your needs and then and then.
You know, meet with you.
Uh, maybe a few weeks down the line to to show you what we’ve built.
And that’s the exciting part that that Barb mentioned.
Does that work for you, Mary?
00:52:41 Sharon Paul
That that sounds great, yeah.
00:52:41 Speaker 2
I thought was.
00:52:43 Speaker 2
Two-month location start and end date and a primary and secondary designation. That’s pretty much the extras.